ABSTRACT

Background

Intensive comprehensive aphasia programs (ICAPs) have gained popularity in recent years. Outcomes from ICAPs have demonstrated measurable improvements for most who take part, but how do people with aphasia and their family members experience an ICAP?

Aim

The aim of this paper was to explore, through qualitative interviews, the experiences of persons with aphasia and their family members who took part in an ICAP.

Methods & Procedures

Twelve interviews were conducted with persons with aphasia and family members regarding their experiences with the ICAP that they had just completed. Nine persons with aphasia were interviewed with their family members and three chose to take part in the interview alone. The Framework Analysis method was used to identify themes from the transcribed interviews.

Outcomes & Results

The interviewees discussed four themes related to treatment, psychosocial environments, physical environments, and outcomes. The interviewees remarked on the challenges that were provided by the treatment and how the treatment was different from previous treatment. Comments were made related to the relationships the participants and families developed within the context of the program. The physical environment allowed for relationships to develop. The interviewees discussed the physical and social environment as important additional factors that contribute to the overall therapeutic effect of the ICAP. Positive outcomes were noted in language skills and psychosocial contexts.

Conclusions

Based on interviewees’ descriptions of this one ICAP, the concept of a therapeutic milieu was developed to describe how the intersection of the treatment, psychosocial interactions, and physical setting related to outcomes. Interviewees described how the therapeutic milieu of the ICAP was interwoven with the intensive therapy to create a “package” of therapy that led to improved outcomes. Implications for non-ICAP clinical practice is that participants linked more intensive therapy and greater social interactions with better outcomes.

中文翻译：

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“它就像一艘救生艇”：利益相关者对强化综合失语症计划 (ICAP) 的看法”

 抽象的

 背景

近年来，强化综合失语症治疗项目（ICAP）越来越受欢迎。对于大多数参与者来说，ICAP 的结果已显示出可测量的改善，但是失语症患者及其家人如何体验 ICAP？

 目的

本文的目的是通过定性访谈探讨参与 ICAP 的失语症患者及其家人的经历。

 方法和程序

对失语症患者及其家人进行了 12 次访谈，了解他们刚刚完成的 ICAP 的经历。九名失语症患者与其家人一起接受采访，其中三人选择单独参加采访。框架分析方法用于从转录的访谈中识别主题。

 结果与结果

受访者讨论了与治疗、心理社会环境、物理环境和结果相关的四个主题。受访者评论了治疗带来的挑战以及该治疗与以前的治疗有何不同。评论涉及参与者和家庭在该计划背景下建立的关系。物理环境有利于关系的发展。受访者讨论了物理和社会环境作为有助于 ICAP 整体治疗效果的重要附加因素。在语言技能和社会心理背景方面取得了积极成果。

 结论

根据受访者对这一 ICAP 的描述，治疗环境的概念被开发出来，用于描述治疗、心理社会互动和身体环境的交叉点如何与结果相关。受访者描述了 ICAP 的治疗环境如何与强化治疗交织在一起，以创建一个“一揽子”治疗方案，从而改善结果。对非 ICAP 临床实践的影响是，参与者将更强化的治疗和更多的社交互动与更好的结果联系起来。